OpenHealth Q&A

Get answered by medical professionals

Persistent Discomfort in Chest and Back: Could It Be a Nerve Compression Issue?

8/7/2025, 7:10:29 AMMale25-34

I am a 32-year-old female, weighing approximately 68 kilograms, and of average height. I am of Australian/Caucasian descent and have no notable health conditions or medications. I abstain from alcohol, tobacco, and illicit substances. In January, I traveled to Japan and fell ill during my second week there. Initially, I believed I had caught a cold, but now I suspect it may have been COVID-19. I recovered in a few days, although I didn't allow for much rest. By the third week, while I was ascending a set of stairs, I suddenly felt an overwhelming wave of fatigue wash over me. It was as if my heart was strained, draining all my energy. For the remainder of my stay in Tokyo, I found myself needing to rest in my hotel room. Upon returning home, the symptoms seemed to subside after about a week. I underwent an EKG, which indicated that my heart was functioning normally. However, the discomfort keeps resurfacing. Occasionally, stretching and using pain relievers provide some relief, but the issues have not fully resolved. I continue to experience a significant loss of stamina, making it difficult for me to navigate stairs or walk for extended periods. Additionally, I have noticed that when I lie on my back in a particular position for too long, my right arm tends to go numb. While I cannot trigger this sensation at will, I am aware of it during sleep. I don’t feel actual pain in my back or chest, but rather a persistent discomfort that resembles a muscle strain. This leads me to suspect that I might be dealing with a nerve compression issue in my upper back that radiates into my chest, or perhaps I might be experiencing lingering effects from COVID. This situation has been persistent for several months, and it’s becoming quite frustrating.

Back PainChest PainMuscle Pain

Answers (1)

Cony

8/7/2025, 7:10:52 AM

OpenHealth AI

It sounds like you're dealing with a challenging combination of symptoms that have been frustrating and persistent. Your description suggests that the discomfort in your chest and back—especially with the numbness in your right arm—might indeed be related to issues such as nerve compression or possibly lingering effects from your earlier illness. Let's explore this step by step.

Main Points:

  1. Your symptoms may be due to muscle strain, nerve compression, or lingering effects from an illness.
  2. Important actions include monitoring your symptoms, practicing good posture, and gentle exercises to improve mobility and reduce discomfort.
  3. Watch for any alarming changes that require prompt attention.

Explanation

The discomfort you're experiencing can have various causes. The history of your previous illness, combined with fatigue and numbness, suggests that factors like muscle tension, nerve impingement, or even post-viral fatigue syndrome could be at play.

  • Nerve Compression: This can happen due to muscle tightness in your back, which may affect sensations in your arm. When you lie in certain positions, it could exacerbate the issue, leading to numbness.
  • Muscle Strain: If your muscles are tight or strained from overuse or improper posture, they can cause discomfort that feels like tension or strain.
  • Post-Viral Effects: COVID-19 can lead to various lingering effects, including fatigue and musculoskeletal discomfort.

Next Steps

  1. Monitor Symptoms: Keep a symptom diary, noting when discomfort or numbness occurs, including activity levels before these sensations arise. Look for patterns that might help you identify triggers or relief methods.

  2. Posture and Movement:

    • Focus on maintaining good posture, especially during activities where you might tense up (like sitting or climbing stairs).
    • Introduce gentle stretching exercises tailored for the chest and back. Videos or resources focusing on upper body stretches can be quite helpful.
  3. Activity Modifications:

    • Gradually increase your activity levels. If walking or climbing stairs is hard, start with shorter distances and incorporate more breaks.
    • Incorporate low-impact aerobic exercises like walking or swimming to build stamina without overstraining.
  4. Pain Management: Continue using over-the-counter pain relievers as needed, and consider applying heat to areas of discomfort to help relax tight muscles.

  5. Sleep Position: Experiment with different sleeping positions or use supportive pillows to keep your back aligned and avoid pressure on nerves.

When to Seek Further Help

Keep an eye out for symptoms that worsen significantly, such as sudden chest pain, severe weakness, or the appearance of new symptoms, especially related to your heart or breathing. If numbness increases or affects other parts of your body, follow up with a healthcare provider for a more tailored approach.

Remember, it's important to listen to your body. If certain movements cause more pain or discomfort, adjust accordingly. Please feel free to share updates on your progress or new developments, and I will be here to assist you further!

Related Questions

Frustrations with Ongoing Pain and Numbness on My Right Side

I'm feeling quite overwhelmed. Despite the notable compassion and efforts of various medical professionals over the years, my condition appears to be deteriorating, with symptoms intensifying in severity and frequency. I’m unsure whether what I’m experiencing are interrelated issues or separate anomalies that just happen to manifest on the right side of my body. Any suggestions or guidance on how to uncover the underlying causes would be greatly appreciated. For over three years, I’ve endured a numb sensation in the right side of my face, which tends to tingle upon rising and intensifies when I clean my ears. After undergoing an MRI to rule out a tumor, I was informed that it was psychosomatic, a diagnosis I accepted at the time. Around a year ago, I started experiencing severe, stabbing pains just beneath my right rib cage. Initially, these episodes were sporadic, occurring only once every few months, but following a particularly severe incident last year, I have been dealing with a low-level ache that has become a near-constant presence. Currently, doctors are still investigating these symptoms. Although an ultrasound did not reveal any clear issues—likely due to my slightly elevated weight impacting image clarity—a CT scan also yielded no results. I’ve been closely monitoring my diet since these pains reoccurred, but I see no meaningful connection. Interestingly, the onset of this discomfort was not triggered by movement; it has commenced while I was engaged in housework as well as during sleep. I have observed that lying too long can exacerbate the pain, especially if a pillow presses on my stomach. A colonoscopy yielded no findings, nor did stool sample tests. I have an appointment next week to further examine my stomach. Less than a year ago, I unexpectedly suffered a herniated disc despite having a lifestyle with regular walking and stretches between long periods of sitting at my computer. Prior to this, back issues were infrequent for me. The herniated disc affected the lowest lumbar segment, resulting in pain that radiated down my right leg's sciatic nerve. The pain became so unbearable that I required emergency surgery, and even after physical therapy, I still experience numbness and sporadic pain in that area. I routinely undergo blood tests, which generally showcase good results aside from a slightly elevated purine level. I have been diagnosed with bipolar disorder since my teenage years; however, my condition is under control. I also manage polycystic ovary syndrome (PCOS) and hypothyroidism, both of which are effectively treated. Two years ago, I underwent a hysterectomy due to complications arising from PCOS and excessive bleeding. As a citizen of Germany, my current medications include: * Bupropion 300mg (for bipolar disorder) * Duloxetine 60mg (to address facial numbness) * L-Thyrox 175mcg (for hypothyroidism) * Melperone 17.5mg (to assist with sleep) * Metformin 2000mg (for PCOS, paused to assess its impact on stomach pain) * Quetiapine Retard 100mg (for bipolar disorder) * Quetiapine 150mg (for bipolar disorder) * Spironolactone 200mg (for PCOS) * Venlafaxine Retard 187.5mg (for bipolar disorder) * Vitamin D 2000 IU (due to low sunlight in Germany) I strictly refrain from using any recreational drugs. I am of Caucasian descent, stand 175 cm tall, and weigh 110 kg. I am starting to question my sanity from constantly seeking medical advice; I worry that healthcare professionals might think I'm exaggerating or fabricating symptoms because of my bipolar diagnosis. However, I firmly believe that my abdominal issues cannot solely be attributed to stress or psychosomatic conditions (which, while valid, feel insufficient in explaining my current distress). I have consulted with my general practitioner, two neurologists, an internist, my endocrinologist, and an orthopedist. The waiting times for appointments in Germany can be quite lengthy, so any insights or suggestions would be immensely valuable. I sincerely wish to avoid inconveniencing even more specialists who may not specialize in these matters. If you've made it through this lengthy account, I genuinely appreciate your time and attention. I wish you a wonderful day, and I welcome any thoughts or advice you might have!

Neck PainJoint PainMuscle Pain
Male25-34
9 minutes ago

Is My Sacral Discomfort Due to Normal Anatomy or Something Else?

Lately, I’ve encountered a peculiar feeling of discomfort when I lie down or sit in specific curled or slouched positions. It has come to my attention that there is a notable triangular bony structure at the top of my buttocks, particularly in the sacrum and PSIS region. This sensation is not painful and feels different from a solid mass. It doesn’t hinder my mobility, daily activities, or sleep patterns. I mainly become aware of it when any pressure is applied directly to that area, such as when I’m lying down or sitting in a crouched position. However, I don’t perceive it at all during walking or movement. Additionally, there are no accompanying signs like redness, swelling, or bruising, nor do I experience fever, numbness, weakness, or any neurological issues. I maintain a lean stature and have consistently been underweight, which leads to my confusion regarding this newfound prominence of the bone after years of being the same body type. My weight has remained stable, so I wonder why this bony structure has suddenly become more noticeable. The sensation feels more like an awareness of the bony area rather than actual pain. Does this align with the typical anatomy of the sacrum and the effects of posture or pressure sensitivity, or could this indicate an issue that requires further examination? This discomfort has lingered for weeks. Whenever I recline and feel this sensation, I can’t help but worry that something might be wrong in that region. I would greatly appreciate any insights. Thank you!

Back PainNeck PainJoint Pain
Male25-34
19 minutes ago

Navigating Iron Levels: A Personal Journey

At 36, I find myself grappling with iron deficiency issues ever since I had a copper IUD placed. Though I had it removed three years ago, my ferritin levels still remain troublingly low; I've seen some progress—up from a previous 5—yet it’s still far from satisfactory. Currently, I take heme optifer iron three times a week to try to boost my levels. During my initial blood test, I was fasting and had halted my iron supplements for a full day prior. The results were perplexing, leading me to pause my iron intake for another two weeks before submitting blood work again. The recent results showed: - Iron: 32.7 umol/L - Transferrin: 1.74 g/L - Transferrin Saturation: 0.74 - TIBC: 44 umol/L - Ferritin: 29 I’m struggling to understand these findings. Is it typical to have such high transferrin saturation whilst my ferritin remains low? More importantly, what strategies can I use to elevate my ferritin levels to the desired range of 50 to 60 given these blood test results?

Pain ManagementAbdominal PainMuscle Pain
Male25-34
1 hour ago

Is Constipation Possible Without Symptoms?

For me, experiencing a lack of bowel movements for a span of 8 to 10 days on a monthly basis is quite common, and I suspect it is linked to my premenstrual syndrome, as it consistently occurs during the same week every month. However, I find myself questioning whether this situation qualifies as constipation, mainly because I do not exhibit any classic signs. There is no pain, no discomfort, and no bloating; I genuinely feel as though there is no urgent need to relieve myself. I am 24 years old.

Back PainHeadacheAbdominal Pain
Male25-34
2 hours ago

Managing Early Appendicitis: Antibiotics vs. Surgery

I’m a 21-year-old who recently had a CT scan revealing mild inflammation in my appendix and lymph nodes. My doctor informed me that surgery might not be necessary if the antibiotics effectively alleviate my discomfort by tomorrow. However, I can’t shake my fears about a potential recurrence of the inflammation. The thought of going through a post-surgery recovery terrifies me, so I really want to steer clear of that option. Has anyone opted for antibiotics rather than surgical intervention? What was your experience like?

Joint PainAbdominal PainMuscle Pain
Male25-34
6 hours ago